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National audit of intermediate care 2012
- Author:
- NHS BENCHMARKING NETWORK
- Publisher:
- NHS Benchmarking Network
- Publication year:
- 2012
- Pagination:
- 70p.
- Place of publication:
- Manchester
The National Audit of Intermediate Care was launched in November 2011 as a partnership project which includes the Royal College of Nursing. The audit aims to take a whole system view of the effectiveness of intermediate care services and the contribution made to demand management across health and social care systems in England, Wales and Northern Ireland. The audit highlights wide variation in service models being used nationally with differences evident in the extent of multiagency integration, the scale of services provided, and how intermediate care sits within the full range of health and community services, in each local health economy. People with dementia are not systematically excluded from intermediate care but may be under represented amongst intermediate care service users. The cost of an intermediate care bed day reported by commissioners ranged from an average of £136 in residential care homes to an average of £252 per bed day in community hospitals. Also, mental health workers are rarely included in the establishment of intermediate care teams.
Report of the national audit of continence care for older people (65 years and above) in England, Wales and N. Ireland: summary report
- Authors:
- WAGG Adrian, et al
- Publisher:
- Royal College of Physicians of London
- Publication year:
- 2006
- Pagination:
- 6p.
- Place of publication:
- London
The purpose of this audit is to allow clinicians and those involved in managing continence to compare their services’ performance with evidence based quality standards (National Service Framework for Older People, Good Practice in Continence Services) against the other participants in the audit. This will allow variations in the standards of care between different Trusts, PCTs and care homes to be highlighted and hopefully lead to an improvement in the standard of care provided to older people with continence problems.
Review of minimum standards in nursing homes: engagement with residents in nursing homes: report
- Author:
- AGE NI
- Publisher:
- Age NI
- Publication year:
- 2014
- Pagination:
- 42
- Place of publication:
- Belfast
This report sets out the findings from an engagement exercise with nursing home residents (and their carers where appropriate), designed to ascertain their views on their care and the home, and their positive and negative experiences in the setting. Findings and emerging themes from the engagement are intended to inform the review of the minimum standards in care homes. The draft revised standards set out the requirements for registration and inspection of nursing homes providers by the Regulation and Quality Improvement Authority to ensure a consistency of approach throughout Northern Ireland and ensure that residents and their families and carers, service providers and commissioners have a clear understanding of the minimum standards of care they can expect to receive and provide. (Edited publisher abstract)
Review of minimum care standards for nursing homes; report of stakeholder engagement exercises
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2014
- Pagination:
- 18
- Place of publication:
- Belfast
This report outlines the results of a series of stakeholder engagement exercises designed to canvass views on Minimum Care Standards for Nursing Homes and the proposed amendments. Nursing home providers, managers of registered nursing home and trust care managers took part in the exercises. Delegates were asked to discuss the positive and challenging aspects of the current standards; examine the format, style, language and tone of the standards and indicate their preferences for how a revised version might look; and identify the positive and challenging aspects of the new standards and whether they felt the standards would be achievable and effective. The draft revised standards set out the requirements for registration and inspection of nursing homes providers by the Regulation and Quality Improvement Authority to ensure a consistency of approach throughout Northern Ireland and ensure that residents and their families and carers, service providers and commissioners have a clear understanding of the minimum standards of care they can expect to receive and provide. (Edited publisher abstract)
Designing dementia nursing and residential care homes
- Authors:
- HADJRI Karim, FAITH Verity, MCMANUS Maria
- Journal article citation:
- Journal of Integrated Care, 20(5), 2012, pp.322-340.
- Publisher:
- Emerald
This study investigated the design of nursing and residential care homes for people with dementia in Northern Ireland using the design audit checklist developed by the Dementia Services Development Centre (DSDC). The appraisal used questionnaires sent to facility managers. The study identified the types of homes that were seen as failing to meet most of the DSDC design criteria and, in particular, which criteria are not met according to their managers. Results from this sample suggest that nursing homes aligned better with DSDC criteria than residential care homes. The study concludes that the majority of managers perceive their care homes to meet over 50% of the essential criteria, with just over 5% below the 50% mark. The authors concluded that more attention to dementia-friendly building design needs to be taken into consideration by residential care homes, and more improvement would still be required by nursing homes not meeting all criteria.
Standards for adult social care support services for carers
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2008
- Pagination:
- 19p.
- Place of publication:
- Belfast
The need for an inspection of Social Care Support Services for Carers of Older People in Northern Ireland was identified during the consultation on the former Social Services Inspectorate's inspection programme for 2002-2005. The inspection continued into 2006. The reports arising from the inspection identify many areas of good practice and good quality work undertaken by highly motivated staff. The reports have sought to identify both what is working well and where improvements are still needed. The reports, with their recommendations to Boards and Trusts and their partner Agencies, together with the draft standards and other initiatives from DHSSPS, provide a clear and coherent framework for the future provision of robust, high quality support for carers. Support for carers is a central policy objective for the Department. The final Standards for Adult Social Care Support Services for Carers were issued in July 2008 and will complement other published standards with regard to practice and social care service provision. The standards will be of use to Commissioners and Providers of social care support services for carers; social care workers; regulatory and training providers and most importantly to carers and their representative groups to inform them of what they can and should reasonably expect from social care support services and from the organisations and practitioners commissioning and providing them.
Arrangements for ensuring the quality of care in homes for older people: report by the Comptroller and Auditor General
- Author:
- NORTHERN IRELAND AUDIT OFFICE
- Publisher:
- Stationery Office
- Publication year:
- 2010
- Pagination:
- 56p.
- Place of publication:
- Belfast
This report examines arrangements for ensuring the quality of care public and private sector residential homes for older people. The introduction outlines the demand and cost of residential care in Northern Ireland. The report then goes on to consider: the regulatory framework; the registration and inspection process, and the role of the Regulation and Quality Improvement Authority (RQIA); and approaches to dealing with complaints about the quality of care. Right of referral to NI’s Commissioner for Complaints, the role of the Patient and Client Council and proposals for an Older People’s Commissioner are discussed. As part of the examination, RQIA inspectors were accompanied on a small number of inspections, to gain a better understanding of the inspection process.
Comparing how to compare: an evaluation of alternative performance measurement systems in the field of social care
- Authors:
- CLARKSON Paul, et al
- Journal article citation:
- Evaluation, 16(1), January 2010, pp.59-79.
- Publisher:
- Sage
This article provides an overview of performance measurement systems and compares the different performance measurement systems in practice for older people receiving community care services in England, Northern Ireland and Japan. Over time, there have been changes in England with current systems concentrating on national systems of regulation with top-down implementation of standards and measures. In contrast, Northern Irish organisations are compared descriptively without the use of national targets. A third type of approach used in Japan, with organisations providing similar services utilising local information collected in a bottom-up manner, used service user generated data. The authors use the Performance Indicator Analytical Framework, a ‘logic model’ which compares the different systems in use, concentrating on aspects of system design and the use of measures. Comparing how to compare must, say the authors, be sensitive to the different aims ascribed to performance evaluation in the three countries. In England, the aim is one of control of subordinate agencies by central government while in Northern Ireland description of the complexity of outputs allow local Trusts to compare their provision with others and plan locally. In Japan, monitoring of the long-term insurance system by the municipalities provided detailed data at the local level. The authors conclude the choice of performance measurement system can constrain or enhance relationships with other evaluative activities, thereby affecting social care provision.
Health and Personal Social Services Act (Northern Ireland) 2002: chapter 9; explanatory notes
- Author:
- GREAT BRITAIN. Parliament
- Publisher:
- Stationery Office
- Publication year:
- 2002
- Pagination:
- 5p.
- Place of publication:
- London
The Act covers two areas. Firstly, it provides for public payments for nursing care for people resident in nursing homes. Currently the cost of nursing care is included in the overall cost of a nursing home placement and may be borne by residents whose means are such that they fund, or part-fund, their own care. There has been an anomaly in relation to nursing care, in that it has been supplied free as a health service to a person in their own home (or indeed to a resident in a residential care home, if supplied externally by a Trust via the community nursing service). From 7 October 2002 the nursing care element of the total cost will be met from public funds reducing the overall cost to the individual. This is one of the responses to the Royal Commission on Long Term Care which reported its findings in the publication "With Respect to Age" in March 1999. The Royal Commission was set up to look at the system of funding for the care of elderly people, and the apportionment of costs between public funds and individuals. Secondly, it is proposed to set up a new local body to support the development of nursing and midwifery in the key areas of best practice, ongoing education and continuous professional development and performance.
Service framework for older people
- Author:
- NORTHERN IRELAND. Department of Health, Social Services and Public Safety
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2013
- Pagination:
- 269
- Place of publication:
- Belfast
This Service Framework for Older People is one of a range of Service Frameworks which set out standards for health and social care to be used by patients, service users, carers and their wider families to help them understand the standard of care they can expect to receive in Northern Ireland. It sets standards in relation to people over 65 whilst taking account of the needs of those over 50, where appropriate, particularly in relation to preventative measures. The Framework sets standards in relation to: Person-centred Care; Health and Social Wellbeing Improvement; Safeguarding; Carers; Conditions more Common in Older People; Medicines Management and Transitions of Care. Each standard is accompanied by a statement on what the standard is intended to achieve. It also sets out the evidence base and rationale for the development of the standard, the impact of the standard on quality improvement as well as the performance indicators that will be used to measure that the standard during the three year period 2013 - 2016. The Framework has been developed by multidisciplinary Programme Board with the involvement of patients, users of services and their carers. The Framework will be regularly review in the light of new evidence. (Edited publisher abstract)